Have you ever been cursed at?
I haven't but…
I've been flirted at…
Doctor~
If you're free this evening
They were like that. So I was like what are they saying
and kept them under a sleep a little longer
Hello, I’m Dr. Yang Sunghyuk and this is Hugo Plastic Surgery TV that prioritizes people
(Let's START our 3rd anesthesia story!) Just like in our last video, we'll continue today with various anesthesia
that is performed in plastic surgery
First of all, there's something I want to say
Especially in sedation anesthesia
Close monitoring is essential
So don't worry too much about it!
First, let me tell you about anesthesia for simple procedures
For example, thread lifting is similar to eye surgery
(Thread lifting anesthesia) We apply local anesthesia to areas where the thread will be inserted
and we proceed with the procedure right away
The procedure will probably take about 15 minutes
By the time you wake up, the procedure will be over
Then we will check if there is anything left in your sitting position
We will also check if there is no thread protruding in your mouth
Only then the procedure will be over
Also, procedures like Ulthera or Rejuran Healer are performed under sedation
Some hospitals use deep sedation for the procedure
In my experience
There are too many types of sedation that is being used
(Disadvantages of sedation during surgery) It takes longer to recover and sometimes you can wake up
from the sedation because of the pain and move around
which makes the procedure difficult
So I just put the patients under deep sedation
And I do a regional block all over the face
After that, the patients move less and feel less pain during the procedure
So it's possible to have safe and accurate procedure
Therefore, local anesthesia and regional block are necessary
The sleep time will be the same at about 15 minutes
Next is anesthesia during brow and facelifts
When it comes with lifts, the procedure may take a little longer
and since the surgery does not require consciousness for the result
patients will be under for a longer period of time
Of course, before any sedation, vital signs are monitored
so the procedure is being carried out safely
And the sedation that is being used
are used in injection form to maintain a stable sleep state
And to administer it at a constant rate
A syringe pump is also used
The order for anesthesia during lifts are basically
sedation after disinfecting the face
After confirming deep sleep, on each incision site
And nerve bundles related to the surgical site, regional blocks are performed
So, we prepare to prevent any possible pain from occurring
Also, as the range of incision is quite wide
To reduce the amount of bleeding during the surgery
Tumescent solution, a mixture of anesthetic and hemostatic substances
is injected widely in the surgical area and then we have to wait for about 15 minutes
It is important to wait long enough during this time because
After injecting the Tumescent solution, the capillaries contract due to the components of the solution
this helps to reduce bleeding, and the time it takes for maximum effect to take place
Takes more than 15 minutes
So normally during this waiting time after injecting the Tumescent,
We prepare the drape for the surgical procedure
Once the drape is completed, almost exactly 15 minutes will have passed
Then, the surgery is proceeded
The purpose of sedation during a face lift is
to prevent the patient from moving
The surgery takes place while maintaining a sufficient depth of anesthesia to ensure the patient remains still
So it is uncommon for a patient to be awaken fully and clearly during the operation
If the patient does show signs of waking up, we adjust the dosage of the anesthesia to help them fall back into sleep
Also, to ensure the patient doesn’t move, pain control is necessary
Thus, this is a part that requires precise local anesthesia
Once the surgery takes place, normally
Patients typically sleep for about an hour during a brow lift
For a facelift, patients typically sleep for about three hours
After the surgery is finished, patients are taken to the recovery room
To eliminate any remaining anesthesia in the blood,
patients are given fluids intravenously to wash out the sleep anesthesia
As long as the time spent sleeping, patients will have enough time to clean out with IV fluids
So far, I have explained how the surgeries at our hospital
Conduct anesthesia
We have prepared a video to help you feel more comfortable during the surgery
If you have any further questions, please leave them in the comments
This was plastic surgery specialist, Dr. Yang Sunghyuk
Are there any patients who require more anesthesia than others?
Yes, definitely!
Is it okay to say this?
For those who are more tolerant to alcohol, more anesthesia may be needed
Also, those who have had a lot of experience with sedation may also require more
In some hospitals, they even ask how many bottles of soju and beer
you can usually drink
Actually, I'm not sure what the difference is between soju and beer is
Anyways, it definitely has a strong correlation with drinking capacity